Universiẗat, Diss., 2004--München.

The distinctive feature of the Human Immunodeficiency Virus (HIV) epidemic in the 21st century is the burden it places on women. Scientists believe that the best opportunities for successful interventions to prevent sexual HIV transmission lie in the initial stages of infection at the portal of entry, the genital tract (GT), which offers the greatest host advantages and viral vulnerabilities. However, understanding of the correlates of protection/vulnerability and innate immunity at the portal of entry is poor. First and foremost, there is no agreement about which GT sub-compartment is the primary site of HIV/SIV infection. Second, the epithelium, previously studied solely for its function as a barrier, has hardly been investigated for its role in innate immunity in the context of SIV/HIV infection. MIP-3α, a chemokine secreted by epithelial cells, was previously proposed to have a role in amplifying the early Simian Immunodeficiency Virus (SIV) infection events in the GT of female macaques. Specifically, MIP-3α was shown to be secreted by epithelial cells of the endocervix, accumulating subepithelially within the first 24 hours post exposure, following deposition of an intravaginal inoculum of SIV. Similar studies in humans have not been reported. We hence undertook to study MIP-3α for its role in early HIV infection events in the endocervix of humans. In order to achieve this, we first characterised MIP-3α constitutive secretion patterns in different sub-compartments of the GT before proceeding to determine its induced secretion patterns, stimulating with HIV-1 and various Toll-like receptor ligands. For completeness we determined constitutive and induced secretion patterns of multiple soluble proteins (SPs) and antimicrobial peptides (AMPs) in the endocervices of humans and macaques. The GT being an immunohormonal system, we further studied the influence of endogenous hormonal changes on the stability of MIP-3α and that of other innate immune markers. We quantified MIP-3α with a sandwich Elisa, and SPs and AMPs with the Luminex multiplex bead assay. Our results showed that the GT is a rich source of MIP-3α with its levels being among those of the highest SPs in the GT. Constitutive levels were highest in the endocervical sub-compartment of all the sub-compartments studied. Further, the GT is an inflammatory environment, which would explain the high levels of MIP-3α. The primary driver of MIP-3α levels appears to be inflammation rather than hormonal levels. MIP-3α levels are significantly higher in the GT of humans than in macaques. There was no evidence that MIP-3α levels are elevated on exposure to HIV and SIV in humans and macaques, respectively. We therefore concluded that since the endocervix is unlikely to respond to HIV/SIV by secreting MIP-3α in vivo, contrary to the previous reports, MIP-3α is hence not a key player in amplifying early events in infection. And as such, it should not be a prime target for preventive therapy. Further, the human GT having a pre-existing inflammatory profile may explain the high rates of HIV sexual transmission. Lastly, we concluded that the infection mechanisms described in the macaque model (i.e. the 'outside-in' signaling) are likely not required for human infection.

Nous avons mis en évidence la présence des phagocytes exprimant le lysozyme dans les Plaque de Peyer chez l’Homme et montré que, comme chez la souris, elles sont principalement localisées dans le SED et sont distinctes des cDC. Dans un deuxième temps, nous avons étudié dans les PP de souris la fonction des différentes populations de phagocytes nouvellement caractérisées. Nous avons en particulier étudié l’impact de la détection d’un acide nucléique d’origine virale par les phagocytes en utilisant un agoniste synthétique du TLR7 : le R848. Bien que TLR7 soit exprimé par les cellules dérivées de monocytes et les DC plasmacytoïdes mais pas par les cDC, nous avons mis en évidence un processus d’activation rapide des cDC impliquant le TNF. Celui-ci conduit à une migration des cDC depuis les villosités adjacentes au dôme vers les IFR et à une forte augmentation de l’expression du CMH-II, des molécules co-stimulatrices ainsi que des gènes dépendants de l’interféron. L’activation du TLR7 induit également une forte expression de la sous unité p40 de l’IL-12 par les LysoDC et certains macrophages. De manière intéressante, nous avons également observé une forte expression d’IL-12 p40 par les LysoDC et certains macrophages peu de temps après le sevrage. Cela nous a conduits à étudier le rôle de cette cytokine dans la mise en place de la réponse immunitaire mucosale. Notre étude a donc des répercussions sur la compréhension des mécanismes conduisant à la mise en place de la réponse immunitaire mucosale en réponse à l’implantation du microbiote intestinal peu de temps après la naissance. / In this study, we first showed that lysozyme expressing cells are found in human PP and share features with their mouse counterpart, such as location and origin. Then, we investigated the behaviour of mouse PP phagocytes upon TLR7 stimulation, using the small synthetic agonist, R848. In PP TLR7 is expressed by monocyte derived cells and plasmacytoid DC, but not by cDC. Nevertheless, TLR7 stimulation triggers a quick activation of cDC. This activation relies on TNF secretion and leads to a massive migration of cDC from the dome associated villi to the IFR and to an increase of MHCII, co-stimulatory molecules and interferon-stimulated gene expression. Stimulation by TLR7 also induces a massive production of IL12p40 by LysoDC and some macrophages. Interestingly, we observed a similar increase of IL-12 p40 production by LysoDC and macrophages shortly after weaning. We thus investigated the impact of Il-12 p40 secretion on the development of the mucosal immune response. Therefore, our study provides clues on the mechanisms involved in the establishment of the mucosal immune response following microbiota colonization.

Chlamydia trachomatis (C. trachomatis) is the most prevalent sexually transmitted bacteria with devastating reproductive consequences that lead to tubal factor infertility (TFI). Recent studies have implicated apoptosis – associated speck – like protein containing a caspase recruitment domain (ASC) as an adaptor of inflammasomes that stimulate IL – 1β and IL – 18 secretion, pro – inflammatory cytokines with critical functions in host defense against a variety of pathogens. Therefore, for the first time, we are reporting the use of ASC-/- mice in a mouse model of Chlamydia infection that might provide some information on the role of inflammasomes in the pathogenesis of Chlamydia infection. In this study, wild type (WT) and ASC-/- mice were infected with Chlamydia. Infectivity, pathology of the upper genital tract (UGT), and, fertility were evaluated. In addition, expression of ASC – dependent inflammasomes and the activation of immune cells within the genital tract (GT) were studied. Results showed that Chlamydia infectivity in ASC-/- mice was significantly higher (p-/- mice which, when compared to infected WT mice, was exhibited by decrease in average number of pups and percent pregnancy. There was also severe UGT damage in ASC-/- mice compared to WT mice, correlating with the higher number of hydrosalpinx observed on the UGT of Chlamydia infected ASC-/- mice. Furthermore, IL – 1β and IL – 18 production as well as immune cell activation were down regulated in the GT of Chlamydia infected ASC-/- mice. This finding indicates that in absence of ASC, host innate and adaptive immunity is impaired. Results imply that ASC plays a protective role in the mucosal immunity against GT Chlamydia infection.

Influenza is a serious illness worldwide, causing high morbidity and mortality. 10-20% of world population fall ill with influenza each year and 250 000 - 500 000 people die annually. The most efficacious protection to date is vaccination. Current vaccines are efficient only one season because of fast mutation rate of influenza virus. The effort to create an effective vaccine faces lack of potent adjuvant, which can adequately stimulate and modulate immune system to protect organism from virus infection. Moreover, todays vaccines administered parenterally do not induce immune response on mucosal surfaces. Bacillus firmus, a Gram-positive non-pathogenic bacterium, has strong immmune-modulating properties and is able to induce cross-protection when administered with influenza virus antigens. Immunization with Bacillus firmus stimulates production of neutralizing antibodies, but other mechanisms of its action remain to be elucidated. To better understand the mechanisms how is antiviral immunity enhanced by Bacillus firmus (delipidated fraction, DBF), the effect of immunization with DBF only was studied on mouse model. In last decade it has become obvious that intranasal immunization can induce both systemic and mucosal immune response and in case of influenza it can induce cross-protection. Therefore...

O resveratrol, um polifenol de origem natural, é descrito como uma substância antiinflamatória, antioxidante, cardioprotetora e anticancerígena. Diversos estudos comprovam a atividade imunomodulatória do resveratrol in vitro e in vivo, estimulando ou diminuindo a secreção de citocinas envolvidas na resposta Th1/Th2. Além do uso em vacinas como adjuvantes, a descoberta de novas substâncias imunomodulatórias pode ser aplicada na profilaxia e tratamento de doenças imunodegenerativas com perda da tolerância sistêmica ou periférica. O objetivo desse estudo é relacionar o efeito modulador do resveratrol em ensaios de endocitose em macrófagos e de secreção de citocinas IL-6(produção de IgA) e IL-10(resposta Th2 e tolerância em mucosas) com a produção de anticorpos anti-ova IgG e IgA após imunização via-oral. Os resultados obtidos demonstraram que in vitro, houve aumento da endocitose em macrófagos e diminuição na secreção de IL-6 pelas células isoladas de placas de peyer em concentrações abaixo de 50 µM de resveratrol. Após a administração oral de resveratrol de 5 mg e 10 mg/kg observou-se o aumento significativo da secreção de IL-10 em esplenócitos isolados de camundongos Balb/C. Nos grupos imunizados com 1 mg de ovalbumina/animal e resveratrol (5 mg e 10 mg/kg) via oral 2 vezes, com 14 dias de intervalos, houve aumento significativo da produção de IgG sérico em relação ao grupo imunizado somente com ovalbumina. Porém a produção de IgA sérico e em lavado intestinal diminuiu, indicando um possível aumento da tolerância oral. Esses resultados demonstram o efeito imunomodulador do resveratrol in vitro/in vivo e a necessidade de maiores estudos sobre o uso desta substãncia como adjuvante de vacinas ou uma droga imunossupressora de mucosa. / Resveratrol, a polyphenol of natural origin, is described as a substance-inflammatory, antioxidant, cardioprotective and anticancer. Several studies have demonstrated the immunomodulatory activity of resveratrol in vitro and in vivo, stimulating or decreasing the secretion of cytokines involved in Th1/Th2 response. Besides the use as adjuvants in vaccines, the discovery of new immunomodulatory substances can be applied for prophylaxis and treatment of diseases imunodegenerativas with loss of peripheral tolerance or systemic. The aim of this study is to relate the modulating effect of resveratrol on tests of endocytosis in macrophages and secretion of IL-6 (IgA production) and IL-10 (Th2 response and mucosal tolerance) with the production of anti-ova IgG and IgA after oral immunization route. The results of in vitro tests showed an increase of endocytosis in macrophages and decrease in IL-6 secretion by cells isolated from Peyer\'s patches at concentrations below 50 mM of resveratrol. After oral administration of resveratrol 10 mg / kg was observed to significantly increase the secretion of IL-10 in splenocytes isolated from Balb / C. In groups immunized with 1 mg ovalbumin / animal and resveratrol (5 mg and 10 mg / kg) orally two times with 14 days intervals, significant increase of IgG level in relation to the group immunized with ovalbumin only. But the production of IgA in serum and intestinal lavage decreased, indicating a possible increase in oral tolerance. These results demonstrate the immunomodulatory effect of resveratrol in vitro / in vivo and the need for more studies on substance use as a vaccine adjuvant or immunosuppressive drugs mucosa.

O objetivo desta pesquisa foi avaliar a influência do envelhecimento e da perda dos elementos dentais nos níveis totais de imunoglobulina secretória do tipo A (SIgA) na saliva. Foram selecionados 76 pacientes (entre 20 e 87 anos), os quais foram divididos em três grupos de acordo com sua faixa etária e condição bucal: adultos jovens com idades de 20 a 40 anos (Grupo I ou Grupo controle); idosos com idade entre 65 e 78 anos, desdentados parciais, portadores de prótese total unimaxilar (Grupo II) e idosos com idade entre 65 e 87 anos, desdentados totais, portadores de prótese total bimaxilar (Grupo III). Os níveis totais de imunoglobulina secretória do tipo A na saliva foram determinados por meio da técnica de ensaio imunoenzimático em fase sólida ( ELISA – Enzyme-linked Imunosorbent Assay). Após obtenção dos dados experimentais foi empregada a análise de variância de ANOVA com dois fatores (sexo e grupo) para verificar o efeito significante da interação destes fatores. Os níveis totais de imunoglobulina do tipo A secretória na saliva não apresentaram, em média, diferenças significantes entre os três grupos. Em relação ao fator gênero, ou sexo, em média, homens e mulheres apresentaram comportamentos de SIgA diferentes nos grupos. Para o grupo controle o nível total de SIgA dos homens foi maior que o das mulheres enquanto que para o grupo III o nível total de SIgA das mulheres foi maior que dos homens e para o grupo II não foi observada diferença significante dos níveis de SIgA entre homens e mulheres. Pela análise comparativa dos grupos I e III foi observada diferença significante no sexo feminino, o que não foi observado quando comparados os dois grupos experimentais (Grupos II e III). Os resultados desta pesquisa sugerem que não há influência direta dos fatores envelhecimento e perda dental sobre os níveis totais de imunoglobulina secretória do tipo A na saliva. Estes resultados mostraram a influência do gênero sobre os níveis de imunoglobulina secretória do tipo A. Entretanto, a influência do gênero não é bem conhecida e merece mais estudos. / The aim of this study was to evaluate the influence of senescence and teeth loss on secretory immunoglobulin A (SIgA) levels in saliva. Seventy-six patients (20 to 87 years old) were selected and classified in three groups according to their age and oral dental state: young adults were aged 20-40 years (Group I or Control group); elderly subjects were aged 65-78 years and wore maxillary or mandibular denture (Group II); and edentulous old subjects were aged 65-87 years and wore maxillary and mandibular denture (Group III). The secretory immunoglobulin A levels were determined by the Enzyme-linked imunosorbent assay (ELISA method). All results were correlated using ANOVA statistical analysis with two factors (sex and group) to verify the significant effect of these factors. The secretory immunoglobulin A levels were not significant differences among the average values of the three groups. In gender relation , men and women showed the mean rate of SIgA levels different in the groups. The men SIgA levels of control group showed greater when compared to women levels. In Group III the women levels were greater when compared to men levels. And to Group II statistical analysis demonstrated no significant difference between the SIgA levels of men and women. The analysis showed significant differences in the women levels when compared to Groups I and III. No differences of levels were demonstrated when compared to Groups II and III. These results suggests that the senescence and teeth loss do not have a direct relationship to the secretory immunoglobulin A levels in whole saliva. The se results showed that there is influence of gender in the secretory immunoglobulin levels. However, the influence of gender is not well known and further studies are still necessary.

The last half-century has seen a dramatic and alarming rise in the incidence of autoimmune disease in industrialized nations too rapid to be accounted for by genetics alone. Among those, Inflammatory Bowel Disease (IBD) has risen from a western disease affecting industrialized populations to an emerging global threat affecting diverse populations around the world. IBD is a complex disease that combines genetic susceptibility and environmental exposure, but one aspect appears to be clear: the involvement of the gut microbiome. Current thought holds that IBD is an autoimmune attack on commensal microbiota, causing extensive collateral damage to the host intestinal tissues in the process. However, it has remained unclear in the field whether the changes observed in the IBD microbiome are causative in nature or whether the microbiome is responding to already-underway inflammatory processes within the host. This dissertation investigates one host factor in particular with regard to the microbiome and the development of inflammation: sodium-hydrogen exchange at the brush border, mediated by sodium hydrogen exchanger 3 (NHE3). NHE3 is inhibited during active IBD, but its loss in knockout animals is also enough to promote spontaneous colitis in a microbiome-dependent fashion. This dissertation investigates the specific contribution of the microbiome in NHE3 knockout animals to determine whether loss of NHE3 may be mediating the onset of colitis through pro-inflammatory changes in the microbiome. Our results suggest that the microbiome fostered in an NHE3-deficient environment may accelerate the onset and severity of experimental colitis, though likely in concert with additional host factors.

Malgré 30 ans de recherche aucun vaccin VIH n'a permis d'apporter une protection efficace et de manière stable. Au regard des échecs obtenus jusqu'à présent, de nouvelles formes vaccinales ont été développées. Parmi ces dernières les VLP présentent l'avantage notables d'être très immunogènes du fait de leur forme particulaire mimant les virus natifs, et sécuritaire puisque ne véhiculant pas de génome viral. Ce travail de thèse a pour objectif d’établir et d’évaluer une stratégie vaccinale utilisant ces VLP administrées par voies muqueuses dans le but d’initier une réponse humorale et cellulaire au niveau systémique et muqueux. Dans cette étude, nous avons montré que la voie muqueuse est indispensable pour l’induction d’une réponse locale forte. De plus, nos résultats révèlent que la forme particulaire de l’antigène est décisive dans la génération d’une immunité de qualité, générant une réponse TFH forte, une réponse cellulaire locale polyfonctionnelle ainsi qu’une réponse humorale forte et stable dans le temps, caractérisée par des anticorps de qualité.Cherchant à mieux caractériser la stratégie vaccinale établie, nous avons analysé les mécanismes de prise en charge des VLP et d’initiation de la réponse immunitaire après administration IN. Nous avons observé que de nombreuses cellules de l’immunité innée pulmonaire, notamment les macrophages alvéolaires et les neutrophiles, captaient massivement les VLP limitant alors la réponse TFH et potentiellement la réponse humorale qui en découle. Au final, ce travail de thèse aura permis de mettre en avant la voie d’immunisation muqueuse ainsi que la forme particulaire de l’antigène dans la mise en place d’un vaccin VIH. / Currently no HIV vaccine elicit full and stable protection against viral acquisition. In view of the failures until now, new vaccines strategies were developed. Among these, VLP have the advantage to be highly immunogenic because of their particulate structure mimicking native pathogens and safe because of the lack of viral genome.This thesis work aims to develop and evaluate a VLP-based vaccine strategy by mucosal administration in order to initiate systemic and local humoral and cellular responses. In this study, we showed that the mucosal administration is mandatory to generate a strong local immunity. Moreover, our results show that particular form of the antigen is crucial in the generation of the quality of the immune response, generating strong TFH response, polyfunctional T-cell responses in the mucosa and a strong and stable humoral response characterized by high-quality antibodies.We also investigated mechanisms involved in the generation of immune responses following IN VLP injections. We determined which cells take in charge VLP and their role in the followed immune responses. Our preliminary results show many innate immune cells in the lungs, such as alveolar macrophages and neutrophils, have an important role in the particles uptake, limiting TFH response and potentially the followed humoral response.Finally, this thesis work will show the determining role of the mucosal route of immunization and the particulate form antigen for the development of an HIV vaccine.

Advances in technology have lowered the limits of viability in premature births to 24 weeks of gestation. This brought forth a new population of children, who are born 3-4 months early and spent considerable amounts of time in neonatal intensive care unit (NICU), instead of sterile environment of mother’s womb. Besides, other problems associated with prematurity, these children often undergo invasive procedures resulting in mucosal inflammation and/ or injury by feeding tubes, endotracheal tubes, and prolonged IV catheter. To test whether “ex-preemie-infants” were different than “term-infants” with regard to their immunity, preterm infants (< 32 weeks) and term infants (control) at the corrected age of 9-12 months were analyzed for their resting and stimulated immune responses. Preterm infants had a significant Th1 skewed response, higher number of activated and functionally competent T cells compared to term infants. The critical role of neonatal environmental exposure on immune system development is imminent; nevertheless detailed mechanistic studies on pathways are warranted.